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These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.
NEW! Pharmacology in each body system and a Pharmacology Basics appendix help you recognize drugs and medications in medical reports. NEW! More than 50 new images bring terminology to life. NEW! Additional procedural terms supply a more complete picture of the number and kind of procedures you will encounter on medical reports. NEW! Normal Lab Values appendix familiarizes you with normal and abnormal lab values so you know when to search a medical record for possible additional diagnoses. NEW! Tablet and mobile-optimized Evolve activities offer an easily accessible source for extra interactive practice and learning.
Confidently prepare for the migration to ICD-10-CM with help from the leader in coding education, Carol J. Buck! This easy-to-use reference presents the complete 2009 ICD-10-CM Official Guidelines for Coding and Reporting (OCGR) in a format designed by coders for coders to help you maintain optimal billing and reimbursement and ensure a smooth transition to ICD-10-CM. Carol J. Buck's proven, straightforward approach is accompanied by exclusive Netter's Anatomy artwork and a variety of helpful learning tools, giving you everything you need to code accurately and effectively and establish a solid foundation for your coding future. - Tabular and indexed presentation of the 2009 ICD-10-CM Official Guidelines for Coding and Reporting provides a comprehensive introduction to physician-based ICD-10-CM coding. - UNIQUE! Full-color Netter's Anatomy artwork clarifies complex anatomic information to help you appropriately code related procedures. - Detailed disease explanations provide additional insight on common diseases and conditions for heightened coding accuracy. - Symbols throughout the text alert you to new, revised, and deleted codes and clearly identify codes that require special consideration before assigning, such as nonspecific codes, includes and excludes, use additional, code first, and codes that cannot be assigned as principal diagnoses. - Full-color photographs and illustrations enhance your comprehension of difficult terminology, diseases/conditions, and specific coding situations. - Companion Evolve Resources website provides instant access to coding updates as they develop, keeping you at the forefront of the evolving medical coding field. - New coverage of ICD-10-CM codes prepares users for the new code set which will replace ICD-9-CM Volumes 1 & 2 for physician outpatient coding in 2013.
ICD-10-CM 2021: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Each of the 21 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official coding guidelines for 2021 are bound into this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2021 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes full-color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a "placeholder X" for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes.
- NEW! Age and Sex edits from the Medicare Code Editor alert you to codes that are used only with patients of a specific age or sex, helping to ensure accurate reporting - Present on Admission symbol highlights the diseases that will always be coded as present on admission. - Hospital Acquired Condition symbol notes specific conditions that will always be coded as hospital acquired for easier recognition.
Code more efficiently and effectively with Carol J. Buck's 2014 ICD-10-CM Draft Edition. Designed by coders for coders, this reference combines Netter's Anatomy illustrations and the Official Guidelines for Coding and Reporting. It simplifies ICD-10 diagnosis to ensure the most accurate billing and optimal reimbursement for outpatient medical services. Full-color images and clear explanations of A&P, pathology, and medical terminology make it easy to develop the knowledge needed to assign the appropriate ICD-10-CM codes. - At-a-glance Guide to the Updates lists all new and revised codes, providing quick access to the annual changes. - Official Guidelines for Coding and Reporting (OGCRs) are listed and also integrated within the code set, providing fast, easy access to the official coding rules. - Unique! Full-color Netter's anatomy art is cross-referenced within the Tabular List to help you understand anatomy and how it will affect choosing codes. - More than 150 full-color illustrations provide visual orientation and help you understand difficult terminology, diseases/conditions, or coding in a specific category. - Additional elements within specific codes define terms and supply additional coding instruction to aid in understanding difficult terminology, diseases and conditions, or coding in a specific category. - Symbols and highlights show which codes are an Unacceptable Principle Diagnosis and identify codes that call for the use of additional character(s). - NEW! Updated 2014 Draft Code set. - NEW! American Hospital Association's Coding Clinic® citations provide reference information regarding official ICD-10-CM coding advice that will enhance understanding of specific codes. - NEW! CC (Complications & Comorbidities) and MCC (Major Complications & Comorbidities) Exclusions call attention to CC and MCC exceptions.
2013 ICD-10-CM Draft Edition -- E-Book
Now featuring our hallmark color-coding and symbols reflecting the new ICD-10 MS-DRG reimbursement edits, the 2014 ICD-10-CM: The Complete Official Draft Code Set makes facing the challenge of learning a new code set easier. Prepare for the future of coding with the latest and most comprehensive update to the code set. The current rule published in the Federal Register sets the adoption of ICD-10-CM to replace ICD-9-CM Volumes 1 and 2 to go into effect October 1, 2014.
ICD-10-CM 2020: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Each of the 21 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official coding guidelines for 2020 are bound into this codebook. FEATURES AND BENEFITS - Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2020 codes. - QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MARCA. - The addition of more than 100 coding tips. Obtain insight into coding for physician and outpatient settings. - The addition of more than 300 new definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury. - Intuitive features and format. This edition includes full-color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. - Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a "placeholder X" for three-, four- and five-character codes requiring a seventh character extension. - Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. - Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons - Appendices. Supplement your coding knowledge with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes.
This comprehensive codebook presents the official government draft of the ICD-10-CM diagnostic code set. Features include the American Hospital Associations (AHA) Coding Clinic for ICD-10-CM/PCS citations, conventions and official guidelines; color coding; indexes to diseases, injuries and external causes; the Table of Drugs and Chemicals and the Neoplasm Table.